contractor articles (513)
Active Articles:
A255: Self Administered Drug ExclusionsA293: Ambulatory Blood Pressure Monitoring
A320: Mental Health Services (Part A and B) Medicare Payments
A325: Add-On-Codes for Anesthesia
A330: Billing for Compounded Drugs
A335: Ambulance Origin/Destination Modifiers
A341: Deep Brain Stimulation for Essential Tremor and Parkinson’s Disease
A373: Implementation of the Financial Limitation for Outpatient Rehabilitation Services
A414: Frequently Asked Questions Medicare Part B Provider
A420: Noncoverage of Multiple Electroconvulsive Therapy (MECT) (Part A and B)
A439: Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management (Part B)
A457: Sacral Nerve Stimulation
A481: Reimbursement for Saline with Chemotherapy Limited (Part B)
A489: Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities
A520: Requirements for Payment of Medicare Claims for Foot and Nail Care Services (Part B)
A554: Independent Therapists and DME Suppliers – Billing for Services That May Be Part Of A Home Health Stay
A565: Modifiers for Injectable Drugs
A594: Coverage and Billing for Neuromuscular Electrical Stimulation (NMES)
A624: Medicare Coverage of Levocarnitine for use in the treatment of Carnitine Deficiency in ESRD Patients
A631: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds
A638: Frequently Asked Questions Medicare Part B Medical Review
A647: Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) (Part A and B)
A657: Psychotropic Drug Use in Skilled Nursing Facilities (SNF) (Part A and B)
A666: Correct Coding for Influenza Vaccine (Part A and B)
A673: Clinical Diagnostic Laboratory Service Claim Requirements Mandated by Negotiated Rulemaking
A679: Questions and Answers Related to Implementation of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services (Part A and Part B)
A695: Coverage and Billing for Percutaneous Image-Guided Breast Biopsy
A707: Coding Instructions for IN-111 Zevalin and and Y-90 Zevalin
A719: Peripheral Neuropathy Coverage Policy and Billing Requirements Clarified
A728: Coverage and Billing for the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes
A737: Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
A743: Coding Changes for Sodium Hyaluronate
A754: Medicare Coverage of Rehabilitation Services for Beneficiaries with Vision Impairment
A813: Requirements for Positron Emission Tomography (PET) Scans for Breast Cancer and Revised Coverage Conditions for Myocardial Viability
A837: Additional Clarification for Medical Nutrition Therapy (MNT) Services
A847: LMRP Consolidation Continues
A854: Medicare Claim Parameters - Still Not Releasable
A876: Administrative Relief from Medical Review and Benefit Integrity in Disaster Situations
A882: Coverage Excluded for Non-Contact Normothermic Wound Therapy (NNWT)
A967: Use of Gamma Cameras and Full Ring and Partial Ring Positron Emission Tomography (PET) Scanners for PET Scans (Part A and B)
A972: Companion Code List for Prolonged Services Expanded
A983: Coding for Non-Covered Services and Services Not Reasonable and Necessary (Part B)
A999: ICD-9-CM Coding for Diagnostic Tests (Part A and B)
A1007: Attestation Acceptable from Independent Laboratories Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Inpatients (Part B)
A1104: Cryosurgery of the Prostate Gland (Part B)
A1117: Billing Audiologic Function Tests for Skilled Nursing Facility (SNF) Patients (Part A and B)
A1126: Coverage and Billing of Biofeedback Training for the Treatment of Urinary Incontinence (Part A and B)
A1132: Coverage Available for Clinical Trials on Carotid Stenting with Category B Investigational Device Exemptions (IDEs) (Part A and B)
A1144: Home Care and Domiciliary Care Visits (Codes 99321-99353)
A1167: Physician Supervision of Diagnostic Tests (Part B)
A1173: Elimination of Time Limit for Immunosuppressive Drugs (Part A and B)
A1184: Apligraf (Graftskin) (Part B)
A1188: Replacement of Prosthetic Devices and Parts (Part A and Part B)
A1225: New CPT Code 55873 - Cryosurgery of the Prostate Gland (Part A and Part B)
A2259: Magnetic Resonance Angiography Coverage Revision
A4069: Local Medical Review Policies (LMRPs) Retired due to National Coverage Determinations (NCD's)
A4192: Hearing Aid Exclusion Clarified
A4312: New Remark Code for Denials Based on Local Medical Review Policy
A4318: Chiropractor Update
A4341: Pulmonary Rehabilitation Not Covered by Medicare
A4346: Anesthesia for Non-Covered Services
A4362: Supervising Physicians in Teaching Settings
A4620: And The Answer Is….
A4636: Modifier Misuse Causes Claim Denials
A4658: Mammograms: Diagnostic or Screening?
A4684: Pap Smear and Exam, Screening Diagnosis Reminder
A6486: Additional Corrections to the Single Drug Pricer (SDP) Files for January 1, 2003
A6519: National Coverage Determination (NCD) Updates
A6532: Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services
A6560: ASC Code Selection
A6565: Responding to Medical Record Requests
A6570: Telehealth Update
A6577: National Coverage Determinations Explained
A6605: Radiopharmaceutical and Contrast Pricing
A6870: Off-Label Coverage for Non-Oncologic Drugs
A6892: Nutritional Therapy Payment Clarification
A6908: Care Plan Oversight Clarification
A6917: Coverage and Billing of Ambulatory Blood Pressure Monitoring (ABPM)
A7031: Screening Flexible Sigmoidoscopy Coverage Allowed for Non-physician Specialties
A7037: Fluoroscopy Billing Update
A7055: Hospice Billing Requirement Change
A7124: EPO Injections for End Stage Renal Disease
A7135: And The Answer Is…. (02/01/2002)
A7319: Pain Pump Medication Reimbursement
A7324: Correction to Description for G0206
A7349: Payment for Therapy Services Wrongfully Denied
A7370: Documentation Requests from Medical Review
A7398: Trigger Point Payment Modified
A7406: New Patient vs. Established
A7413: Nursing Home and Skilled Nursing Facility Visits - Reminder
A7869: Diagnosis Requirements for Chiropractic Claims Modified
A7913: Hot & Cold Packs Application
A7929: Mandatory Assignment
A7958: Ambulance Billing Reminders
A7965: Billing Post-Anesthesia Care
A7979: Responding to Medicare Documentation Requests
A8364: Medicare Global Surgery Policy
A8370: Billing CPT Code 99211
A8380: Documentation Requirements for Partial Hospitalization Program (PHP) Services
A8388: Documentation 101 – Part 2
A8395: Filing Post Operative Visits
A8422: Payment for Services Furnished by Audiologists
A8427: Non-coverage of Perception Sensory Threshold/Nerve Conduction Threshold Test (sNCT)
A8455: Billing for Initial Hospital Care
A8460: Platelet-Derived Wound Healing Formula – Not Covered
A9200: Coding Correction for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
A9208: Billing Psychiatric Services - Codes 90801 through 90899
A9218: Pathology Consultations: CPT Codes 80500 and 80502
A9223: Billing “Incident To”
A9233: Correction of Trichiasis Clarification
A9337: Injection Procedures During Cardiac Catheterization (CPT Codes 93539-93545)
A9344: Implementation of Clinical Diagnostic Laboratory Services National Coverage Determinations
A9350: EKG Diagnosis Coverage Change
A9403: Chiropractor Diagnosis Requirement Update
A9406: Podiatrists – Are You Treating the Foot?
A9434: Billing “Shared” Evaluation and Management Services
A9440: Billing and Calculating Payment for Split Care
A9448: Non-physician Practitioners Billing for Diabetes Outpatient Self-Management Training (DSMT) Services
A9453: ICD-9-CM Code Reminder
A9458: LMRP Update
A9466: Modifier -50 Billing Reminder
A9483: Indications for a Right Heart Catheterization: CPT Code 93501
A9485: Modifier 50 - Clarification
A9489: Repeat Services
A9563: Glucose Monitoring
A9572: Draft LMRPs Available Soon on Web!
A9587: Using Modifiers -24 and -25
A9600: Non-Physician Assistant-at-Surgery Services
A9607: Reciprocal Billing Clarification
A9622: Requests for Additional Information
A9687: Colorectal Cancer Screening Benefits and Coverage
A9692: Mandatory Assignment Required for Drug and Biological Coverage
A9697: Coding Local Therapeutic Injections
A9796: Hepatitis B Vaccines
A9872: CPT 99211 - Improper Billing
A9877: Reminder About Using Modifiers
A9898: Surgical Trays
A9903: Verteporfin Coverage
A9911: Over-Reads not Covered by Medicare
A9966: Diagnostic vs. Screening Services
A9973: Billing Guidelines for Elective Surgery
A10052: Using Modifier -79
A10059: Billing Radiopharmaceuticals and Related Procedures
A10066: Questions and Answers Regarding Payment for the Services of Therapy Students Under Part B of Medicare
A10076: Intestinal and Multi-Visceral Transplantation
A10080: Botox Injections into Eyelids
A10132: Ambulance Non-Resident Fees
A10137: And The Answer Is…. (08/01/2001)
A10142: Billing Reminders
A10149: Billing Chemotherapy Administration Services
A10155: DOCUMENTATION 101
A10160: Locum Tenens Q & A
A10166: Modifier QW for Lab Tests
A10193: Revision of Medicare Reimbursement for Telehealth Services
A10201: Using Modifier -58
A10215: ASC Modifier Required
A10223: Diagnostic Tests in a Hospital Setting
A10238: Frequently Asked Questions (10/01/2001)
A10255: Change in Jurisdiction for Pessary Codes
A10278: Billing for Screening Glaucoma Services
A10286: Therapy Services Billing Reminder
A10293: Radiation Oncology LMRP Clarification
A10327: Useful Lifetime Expectancy for Breast Prosthesis Lowered
A10332: E/M Billing Reminder
A10337: Influenza/Pneumococcal Vaccination Billing Reminder
A10342: Local Medical Review Policy (LMRP) Consolidation
A10347: Observation Care
A10353: Pre-operative Service Criteria Clarified
A10386: Adult Liver Transplantation Coverage Expanded to Include Hepatitis B
A10391: Nurse Practitioner Qualification Alert
A10399: Preservative-Free Morphine
A10405: And The Answer Is……..(02/01/2000)
A10417: Injection Administration Billing Errors
A10501: Routine Screening PSA and DRE
A11523: Definition of Rural Changed for Paramedic Intercept Services
A11551: Electrical Osteogenic Stimulator Coverage Expanded
A11558: External Counterpulsation for Severe Angina Update
A11563: Billing Hints: Modifier 50/Bilateral Procedures
A11569: Questions and Answers Regarding PPS for Outpatient Rehabilitation Services
A11581: And The Answer Is……(04/01/2000)
A11585: Audiologist Coverage Clarified
A11587: Eliminate Duplicate Claim Denials
A11638: Chiropractic Billing Clarification: X-rays
A11673: Role of Physicians in the Home Health Prospective Payment System
A11682: Local Medical Review Policy (LMRP) – Theory And Practice
A11690: And The Answer Is…(06/01/2000)
A11728: Ambulance Billing Reminder: Hospital to Hospital Transports
A11735: Ambulance Modifier -QL -Patient Pronounced Dead After Ambulance Called
A11741: Ambulance Q & A
A11750: Aredia: Pamidronate Disodium, per 30 mg, HCPCS Code J2430
A11757: Questions and Answers about Cancer Screenings
A11767: Billing for Chiropractic Claims Showing Subluxation
A11778: Chiropractic Reminders
A11814: Use ICD-9-CM V58.69 for Medication Management
A11820: Injection Administration Reminder
A11825: Medicare to Cover Device for Treating Severe Rheumatoid Arthritis Sufferers
A11831: Clarification: Use of Modifier -25 with Consult Codes
A11836: Payment for New Technology Intraocular Lenses (NTIOLs)
A11848: Non-Coronary Percutaneous Transluminal Angioplasty (PTA) and Stenting for the Same Vessel/Same DOS
A11856: Medicare Clarifies Coverage of Non-Invasive Vascular Studies for ESRD Patients
A11863: Medicare Does Not Provide Pre-authorization of Coverage
A11905: Billing Transmyocardial Revascularization (TMR)
A11920: And The Answer Is…(08/01/2000)
A11953: Billing E/M Codes 99214 and 99233 Correctly
A11963: Chiropractic Reminder: Maintenance Therapy Not Covered
A11968: Concurrent Care
A11973: End Stage Renal Disease Services (ESRD) Billing Tips
A11978: Medicare Modernizes the Requirements for Approval of Heart, Liver and Lung Transplantation Centers
A11983: Medicare Patients Responsible for Non-covered ASC Fees
A11988: Venous Access Device Coding Made Simple: Procedure Codes 36489-36535
A12089: Verteporfin Payable by Medicare
A12108: Computerized Dynamic Posturography
A12132: Documenting Medical Necessity for Services Rendered to Patients in Nursing Facilities
A12144: Reminder: Billing Eye Visits
A12155: Glycated Hemoglobin Denials in Medical Review
A12172: Medicare Coverage of Services for Beneficiaries Participating in Medicare Qualifying Clinical Trials
A12181: Claims Filing Hint: Not Medically Necessary Versus Routine Screening Services
A12186: Prostate Cancer Screening Tests and Procedures
A12192: Screening Pelvic Examination Update
A12197: Billing Multiple and Bilateral Surgical Procedures
A15255: CMS Posts Correct Coding initiative Edits On The Internet (Part B)
A15262: Billing Guidelines for Outpatient Rehabilitation Services (Part A and B)
A15280: Guidelines for Skilled Nursing Facility (SNF) Consolidated Billing (Part A and B)
A15287: Changes to Code List for Therapy Services (Part B)
A15294: National Coverage Determination -- Implantable Automatic Defibrillators (Part A and B)
A15304: Guidelines for Medicare Part B Laboratory Testing (Part A and B)
A15311: Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers (Part A and B)
A15317: Pneumococcal Vaccine Payment Increase Effective October 1, 2003 (Part A and B)
A15323: Implementation of the Financial Limitation for Outpatient Rehabilitation Services (Part A and B)
A15408: Mammography billing with CAD Codes (Part A and B)
A15419: Hemodialysis Inpatient and Outpatient Services (Part B)
A15426: Medical Documentation (Part B)
A15458: Financial Limits on Therapy
A15464: Positron Emission Tomography (PET) Scans Expaned Coverage
A15469: Addition of Temporary Codes Q4052 and Q4053 (Part B)
A15475: Stem Cell Transplantation
A15483: Mammography Computer Aided Detection (CAD) Equipment (Part A and B)
A15502: Diabetes Outpatient Self-Management Training (DSMT)
A15517: Frequently Asked Questions Medicare Part B 5/2/2003
A15525: Medicare Payments for Part B Mental Health Services (Part A and B)
A15545: And The Answer Is….(07/01/2003)
A15550: Submit 87797 for Affirm VP III
A15555: Anesthesia Billing Errors
A15560: Local Anesthesia
A15565: Clarification of Instructions & Updated Allowables for R0070 and R0075
A15570: Comparative Billing Report Reminder
A15588: ICD-9 Coding Requirements
A15602: Incident to Provision for Services and Supplies
A15610: Expanded Coverage For PET Scans
A15635: Repeat Services – Clinical Lab Clarification
A15637: Modifiers To Be Eliminated
A15640: Purchasing Multiple Diagnostic Tests
A15704: Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services
A15720: Chiropractic Therapy
A15728: Evaluation and Management Services Modifiers 24 & 25
A15733: Medicare Announces Final Rule On Hospital Responsibilities To Patients Seeking Treatment For Emergency Conditions
A15738: Medical Documentation Attachment Clarification
A15753: Important Clarification to Providers of Physical Medicine and Rehabilitation Services:
A15757: Treatment of Mycotic Nails
A15818: Billing Instructions For Claims For Ventricular Assist Devices For Beneficiaries In A Medicare+Choice Plan (Part A and B)
A15826: Modifiers for Transportation of Portable X-Rays (R0075) (Part A and B)
A15834: Modifier GY to Identify Clinical Diagnostic Laboratory Services that are Not Covered by Medicare (Part A and B)
A15847: Lung Volume Reduction Surgery
A15856: Critical Care Focus (Part B)
A15862: Ventricular Assist Devices (VADs) for Destination Therapy (Part A and B)
A16338: Health And Behavior Assessment And Intervention CPT Codes 96150 – 96155
A16901: New Basis for Medicare Drug Payment Amounts Under Part B
A16907: Care Plan Oversight Reminders
A16921: Change in Coding on Medicare Claims for Darbepoetin Alfa and Epoetin Alfa For Treatment of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis
A16926: Chemotherapy Service Update
A16931: Clarification of Mammography Annual Screening Examination
A16937: Endoscopy Pricing
A16942: Fecal-Occult Blood Tests (FOBT)
A16947: Financial Limitation on Therapy Services
A16957: Medicare Coverage of Abortion Services
A17007: Xenograft and Oasis Wound Dressing
A17966: Renewed Moratorium on Outpatient Rehabilitation Therapy Caps (Part A and B)
A17971: Correction – Ambulance Night Differential Charges
A18133: Change in Coding on Medicare Claims for Darbepoetin Alfa (trade name Aranesp) and Epoetin Alfa (trade name Epogen, EPO) for Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis
A18139: Treatment of Certain Dental Claims as a Result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
A18185: Coding Change for Ventricular Assist Devices (VADs) for Beneficiaries in an Medicare+Choice (M+C) Plan
A18617: Aranesp and EPO Coding Guidelines – Latest Update
A18629: Cardiac Output Monitoring By Thoracic Electrical Bioimpedance (TEB)
A18644: Clarification for Saline Infusion for Non Chemotherapy Drug Administration
A18649: Criteria for Using the CB Modifier
A18662: Emergency Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low Osmolar Contrast Material
A18668: Implementation of Skilled Nursing Facility Consolidated Billing Edit for Therapy Codes Considered Separately Payable Physician Services
A18675: Intravenous Immune Globulin
A18681: Outpatient Physical Therapy, Occupational Therapy or Speech Language Pathology Services Must be Under Care of Physician
A19032: Drug Administration Clarification (Part B)
A19157: Frequency Limitations for Darbepoetin Alfa (trade name Aranesp) for Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis (Part A and B)
A19324: NCD: Current Perception Threshold/Sensory Nerve Conduction Threshold Test (sNCT) (Part A and B)
A19386: Elimination of the 90-day Grace Period for Billing Discontinued ICD-9-CM Codes
A19407: Outpatient Physical Therapy, Occupational Therapy and Speech Language Pathology Recertification Clarification
A19417: Pressure-Specified Sensory Device (PSSD)
A19453: Updated Policy and Claims Processing Instructions for Ambulatory Blood Pressure Monitoring (ABPM) (Part A and B)
A19506: MMA-Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals (Part A and B)
A19699: Ocular Photodynamic Therapy (OPT) with Verteporfin for Age-Related Macular Degeneration (AMD) (Part A and B)
A19784: Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals
A19791: Manualization of POS Code Set Program Memorandum; Revision to Group Home Code Description
A19796: Podiatrists Billing Electrical Stimulation
A19811: Requirement for Carriers, DMERCs, FIs, and Full PSCs to Encourage Providers to Submit Medical Records to the Comprehensive Error Rate Testing (CERT) Contractor for Use in the Nov 2004 Improper Medicare Fee-For-Service Payments Report
A19820: Transfusions, Blood or Blood Components CPT Code 36430
A20217: Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds (Part A and B)
A20222: Manualization NCD: Acupuncture for Fibromyalgia/Osteoarthritis (Part B)
A20227: Payment for Chemotherapy Administration Services, Non-chemotherapy Drug Infusion Services, and Drug Injection Services (Part B)
A20235: Arrangements for Physical, Occupational, and Speech-Language Pathology Services (Part B)
A20667: New Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy (Part B)
A20678: Diabetes Self-Management Training Services (Part A and B)
A20771: Implementation of New Medicare Redetermination Notice (MRN) (Part A and B)
A20789: Critical Care Facts
A20938: Coding of Subsequent Hospital Care
A21068: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee (Part A and B)
A21748: NCD: Sensory Nerve Conduction Threshold Test (sNCTs) (Part A and B)
A21764: Critical Care Facts (Part B)
A21829: Coding for Mohs Micrographic Surgery
A21883: Nurse Practitioners as Attending Physicians in the Medicare Hospice Benefit (Part A and B)
A21901: Clarification for Billing Left Ventricular Assist Devices (Part A and B)
A21920: Leuprolide Acetate/Goserelin (Gonadotropin Releasing Hormone Analogs)
A22064: Referral of Patients for X-rays by Chiropractors (Part B)
A22183: Medicare Prescription Drug, Improvement, and Modernization Act – Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers (Part A and B)
A22221: Change to Previous Transmittal Regarding the Discontinued Use of Revenue Code 0910 (Part A)
A22241: Prepay Medicare Review Part B Documentation Requirements
A22279: Incident to Services
A22424: Implementation of Skilled Nursing Facility Consolidated Billing CWF Edit for Therapy Codes Considered Separately Payable Physician Services; Correction to CR 2944, Transmittal 90, Issued on February 6, 2004
A22922: OIG Alert about Charging Extra for Covered Services
A22935: Billing the -22 Modifier (Unusual Circumstances)
A22943: Autologous Blood-Derived Products for Chronic, Non-Healing Wounds
A22984: Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial
A22990: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
A23093: Clarification of Epoetin Alfa (EPO) Billing Procedures and Codes in ESRD (Part A and B)
A23521: Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy, Full Replacement of CR 3063
A23644: Billing Clarification for Chronic Wound Care: Unna Boot vs. Four-Layer Dressing
A23709: Modifier AT - Usage Change
A23933: Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases
A23940: Billing the -22 Modifier (Unusual Circumstances) Documentation Clarification
A23945: Podiatrists and Optometrists Billing for Nursing Facility Assessments
A23950: Nail Debridement Procedure Code 11721
A23955: Magnetic Resonance Spectroscopy (MRS) for Diagnosing Brain Tumors
A23960: Payment for Outpatient End Stage Renal Disease (ESRD)-Related Services
A23965: Treatment of Obesity
A23970: Percutaneous Transluminal Angioplasty (PTA)
A24058: Service Specific Audit
A24129: Clarification: Modifiers for Transportation of Portable X-rays (R0075)
A24240: Postoperative Split Care Billing Issue
A24242: Podiatry – Date of Last Visit Requirement
A24915: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2005
A24921: Local Coverage Determination Conversion Process
A25015: Podiatry: Q Modifiers Clarified
A25061: Coverage of Routine Costs of Clinical Trials Involving Investigational Device Exemption (IDE) Category A Devices
A25080: Cardiovascular Screening Blood Tests
A25087: Emergency Change to Carrier Instructions for the End Stage Renal Disease (ESRD) 50/50 Rule Implementation
A25109: Diabetes Screening Tests
A25115: Electrocardiographic Services
A25146: Chemotherapy Demonstration Project
A25152: Payment for Referred Laboratory Automated Multi-Channel Chemistry (AMCC) Tests
A25349: Service Specific Probe – Procedure Codes 97110 and 97530
A25356: Modification to Reporting of Diagnosis Codes for Screening Mammography Claims
A25363: Update to Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases and Update for Special Payment Procedures for all PET Scan Services Performed in Critical Access Hospitals
A25371: Addition of CLIA Edits to Certain Health Care Procedure Coding System (HCPCS) Codes for Mohs Surgery
A25558: Initial Preventive Physical Examination
A25609: Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients
A25750: CORRECTION TO SEPTEMBER 2004 PROVIDERS’ NEWS ARTICLE TITLED “BILLING CLARIFICATION FOR CHRONIC WOUND CARE: UNNA BOOT VS. FOUR-LAYER DRESSING”
A26184: BILLING FOR REMOTE ELECTRONIC ANALYSIS OF IMPLANTABLE PACEMAKERS AND PACING CARDIOVERTER DEFIBRILLATORS
A26201: Billing for Monochromatic Infrared Photo Energy (MIRE™) Using the Anodyne® Therapy System
A26213: Medicare Coverage of Enteral Nutrition
A26261: Psychotherapy Notes
A26269: Prosthetics and Orthotics Ordered in a Hospital or Home Prior to a Skilled Nursing Facility Admission
A26377: Medical Review (MR) of Rural Air Ambulance Services
A27732: Influenza Treatment Demonstration
A33213: Infusion Pumps: C-Peptide Levels as a Criterion for Use
A33920: Billing for HCPCS Code J9017
A33933: Cataract Surgery Postoperative Split Care Billing Correction
A33941: Medical Review – NTE Information
A34476: Billing for Hemophilia Blood Clotting Factors (Medicare Claims Processing Manual (Pub. 100-04), Chapter 17, Section 80.4)
A34492: Billing for Syringes Used in the Treatment of End Stage Renal Disease (ESRD) Patients
A34498: List of Medicare Telehealth Services
A34504: Probe Review Results of Chest X-Ray Services in Oklahoma
A34511: Expanded Coverage for PET Scans for Cervical and Other Cancers, New Coding for PET Scans, and Billing Requirements for PET Scans for Specific Indications of Cervical and Other Cancers
A34520: Widespread Probes for Surgical Debridement Codes
A34735: Expansion of Coverage for Percutaneous Transluminal Angioplasty (PTA)
A34742: Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA)
A34749: Updated Requirements for Autologous Stem Cell Transplantation (AuSCT) for Amyloidosis
A34782: Service Specific Probe - Procedure Code 99231
A34784: Service Specific Probe – Procedure Code 99232
A34793: Service Specific Audit - Procedure Code J0128
A35599: Prostate Brachytherapy (CPT Code 55859) at Ambulatory Surgical Centers (ASC)
A35607: Xeloda (Capecitabine) in Lieu of 5-FU for Cancer Therapy
A35736: Reminder Regarding Medicare Billing Rules for Ambulance Services Rendered to Medicare Patients during an Inpatient Hospital Stay
A35822: Hospice Attending Physician and Billing Clarification
A35827: Refractive Services
A35864: Coverage and Billing for Ultrasonic Stimulators for Nonunion Fracture Healing
A36689: Omalizumab (Xolair)
A36700: IBRITUMOMAB TIUXETAN (ZEVALIN) BILLING INSTRUCTIONS
A37309: Cochlear Implantation
A37545: Comprehensive Error Rate Testing (CERT) Decisions
A37587: Mailing Medical Records – Helpful Hint
A37620: Non-Physician Practitioner Questions and Answers
A37626: Medicare Prescription Drug Coverage – The Fifth in the Medlearn Matters Series
A37636: Message to Nursing Home Administrators on Medicare Prescription Drug Coverage - The Sixth in the Medlearn Matters Series
A37920: Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims During an Inpatient Stay
A37930: Coverage for Interferon
A37950: Coverage for Oprelvekin (Neumega)
A37976: Epley Maneuver
A38023: Radiopharmaceutical Diagnostic Imaging Agents Codes Applicable to PET Scan Services Performed on or After January 28, 2005
A38872: Presbyopia - Correcting Intraocular Lenses (IOLs) for Medicare Beneficiaries
A38880: Low Osmolar Contrast Media (LOCM): Payment Criteria and Payment Level
A38888: Medical Nutrition Therapy Services
A38910: Wound Care Services - Modifier Q & A
A38921: Hospice Coverage
A38933: Non-Physician Practitioner Questions and Answers
A38939: Correct Coding Initiative (CCI) Edits to Apply to ALL Therapy Providers
A38949: Ambulance Services - Institution to Institution
A39197: Cessation of Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs)
A39207: Updates to Home and Domiciliary Care Visits Related to CPT Codes 99321 – 99350
A39214: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813); Implementation of Carrier Guidelines
A39287: Chiropractic Services
A41460: Ambulatory Surgical Center (ASC) Coverage
A41544: Billing for Apheresis Procedures
A41566: Medical Review Additional Documentation Requests (ADRs)
A41636: Probe Review Results of Wound Care Services in Oklahoma
A42034: Medical Nutrition Therapy Services Update
A42106: Physician Voluntary Reporting Program Using Quality G-Codes
A42171: Payment for Office/Outpatient E/M Visits (Codes 99201-99215)
A42261: Auditory Osseointegrated and Auditory Brainstem Devices
A42268: Coronary Angiography Supervision and Interpretation
A42283: Coding for Implantable Infusion Pumps
A42322: Coding for Spinal Cord Stimulators
A42335: Coding for Sacral Nerve Stimulation
A42341: Modifier Combinations Required
A42349: Hurricanes Katrina and Rita – Transportation of Evacuees with Medical Needs
A42375: Therapy Caps to Be Effective January 1, 2006
A42395: Probe Review Results of Wound Care Services in Oklahoma for CPT 11042
A42396: Probe Review Results of Subsequent Hospital Care Evaluation and Management Services in Oklahoma (CPT 99232)
A42407: Nursing Facility Services (Codes 99304 - 99318)
A42441: Cardiac Catheterization In Other Than a Hospital Setting
A42470: Bone Density Study - CPT code 76075
A42485: Myocardial Perfusion Imaging - CPT code 78465
A42497: 2006 Oncology Demonstration Project
A42504: Therapy Caps Exception Process
A42517: Probe Review Results of Psychotherapy Services in Oklahoma for CPT 90816
A42519: Probe Review Results of Subsequent Nursing Facility (SNF) Care Evaluation and Management Services in Oklahoma (CPT 99311)
A42522: Probe Review Results of Subsequent Hospital Care Evaluation and Management Services in Oklahoma (CPT 99232)
A42531: Probe Review Results of Subsequent Nursing Facility (SNF) Care Evaluation and Management Services in Oklahoma (CPT 99312)
A42532: Probe Review Results of CPT 71010, 71020; Chest X-ray, Oklahoma
A42541: Epley Maneuver Update
A42547: Probe Review Results of Initial Hospital Care Evaluation and Management Code 99222 in Oklahoma
A42716: Electromyography Coding Guidelines
A42737: Probe Review Results of Physical Therapy Services in Oklahoma (CPT 97110 and 97530)
A42743: Clarification of Policy Revision to Routine Foot Care, LCD AC-02-043
A42759: Process for the Therapy Cap Exception for Therapy Providers
A42772: Documentation Requirements for Therapy Services Including Therapy Cap Exceptions
A42872: Nail Debridement (11721) Audit/ Prepay Probe Review of Podiatry Services
A42878: Claims Submission with Prior Authorization for Therapy Cap Exceptions for Therapy Providers
A42902: Revised Coding for Podiatrists for Noninvasive Vascular Studies
A42909: Avastin (Bevacizumab) J9035 - Update
A42935: Clinical Trial Reminder – Correction
A42941: Consultation vs Referral – What is the Difference?
A42947: Occult Blood Test Number of Services
A42960: Subsequent Hospital E&M Services Audit
A42969: Electrical Stimulation – Manual or Unattended (Are you using the correct code?)
A42982: Incorrect Coding for Emergency Department E&M Services (CPT 99281-99285)
A42988: Requirements for Referring Providers - Laboratory Services
A44130: Medicare Coverage of Transmyocardial Revascularization (TMR) for Treatment of Severe Angina
A44138: Medicare Coverage of Ambulatory Blood Pressure Monitoring
A45396: Reciprocal Billing/ Locum Tenens Arrangements and Use of Q5 and Q6 Modifiers
A45404: Audit guidelines for CPT codes 11040-11043 - Oklahoma/New Mexico
A45412: Additional Documentation Request (ADR) or CERT Letter - What Do I Need to Send In?
A45422: Appropriate Billing with Modifier -59
A45430: Oasis® Wound Matrix - Provider Reimbursement Issues
A45436: Axial Decompression Therapy Systems
A45448: Probe Review Results of Office or Other Outpatient Evaluation and Management Services in Oklahoma (CPT 99212 - 99214), Specialties 01, 08, 90, 97, and 41
A45464: Initial Hospital Evaluation and Management Services Guidelines
A45474: Medical Nutrition Therapy Services - Covered only for Diabetes and Renal Disease
A46234: Medicare Coverage of Cardiac Rehabilitation Services
A46244: Widespread Prepay Probe Planned for Office or Other Outpatient Consultation Codes (99241-99242) for All Specialties in Oklahoma
A46245: Prepay Probe Planned for Office or Other Outpatient Consultation Codes (99243-99245) for Specialty 14 (Neurosurgery) and Specialty 41(Optometry) and Specialty 90 (Medical Oncology) in Oklahoma
A46280: Required Documentation Advisory
A46286: Assistants at Surgery in Teaching Hospitals
A46292: Medicare Coverage of Hyperbaric Oxygen Therapy
A46309: Probe Review Results of 12 Lead ECG Interpretation and Report in New Mexico (CPT 93010), Specialties 06 (Cardiology) and 11 (Internal Medicine)
A46310: Probe Review Results of Subsequent Nursing Facility Evaluation and Management Services in Oklahoma (CPT 99307-99310), Specialty 01 (General Practice)
A46323: Notice for Providers billing those codes in the Leuprolide Acetate/Goserelin (Gonadotropin Releasing Hormone Analogs), LCD AC-01-019
A46327: Widespread Probe Review Results of Consultation Services in Oklahoma (CPT 99241-99242)
A46328: Probe Review Results of Subsequent Nursing Facility Evaluation and Management Services in Oklahoma (CPT 99307-99310), Specialty 11 (Internal Medicine)
A46398: Medicare Coverage of Stem Cell Transplantation for Multiple Myeloma
A46412: Notification of Recoupment for Leuprolide Acetate/Goserelin (Gonadotropin Releasing Hormone Analogs)
A46422: Medical Nutrition Therapy Services – Covered only for Diabetes and Renal Disease - Revised
A46428: General Evaluation and Management Documentation Guidelines
A46439: Medicare Coverage of Positron Emission Tomography (PET Scans)
A46449: Probe Review Results of New Patient Office or Other Outpatient Evaluation and Management Services in Oklahoma (CPT 99204 - 99205) For Specialty 11
A46458: Medicare Coverage of Bioengineered Skin Substitutes
A46509: Probe Review Results of New Patient Office or Other Outpatient Evaluation and Management Services (CPT 99204) in Oklahoma, Specialty 41 (Optometry)
A46516: Widespread Probe Review Results of New Patient Office Visits in Oklahoma (CPT 99204-99205), Specialty 18 (Ophthalmology)
A46548: Billing and Coding Clarification for Blood Transfusion Procedures and Products
A46560: Billing Clarification - Low Osmolar Contrast Media (LOCM)
A46618: Clarification of Incident-to and Split/Shared Services by Nonphysician Practitioners
A46634: Leuprolide Acetate, J1950 Clarification
A46640: Critical Care - Local Coverage Determination Retired
A46662: Probe Review Results of Emergency Department Evaluation and Management Code 99283-99284 for Specialty 08 in Oklahoma
A46671: Bariatric Surgery Billing Requirements
A46676: Concurrent Care - Local Coverage Determination Retired
A46681: Coverage for Outpatient Sleep Studies
A46694: Coverage Changes and Reimbursement Notice of the Least Costly
A46697: Office or Other Outpatient Consultations New or Established patient
A46711: Boniva (ibandronate) (LLC 11/02/2007 – update)
A46716: Q6 Modifier (Locum Tenens) Use Identified in Widespread Probe
A46735: Probe Review Results of Established Office Patient Evaluation and Management Services in Oklahoma (CPT 99213), Specialty 97
A46737: Probe Review Results of Established Office Patient Evaluation and Management Services in Oklahoma (CPT 99212 and 99213), Specialty 01
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